Organization Active NPI

At Home Health, Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1841484524
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010791 Issued in IL
Legal business name
AT HOME HEALTH, INC.
Practice address
3344 W Peterson Ave Ste 104
Chicago, IL 60659-3533
Phone
(773) 279-9244
Fax
(773) 279-9255
NPI assigned
Sep 5, 2007
Last updated
Sep 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Avelina Urion Oliva
Title
President
Phone
(773) 279-9244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010791 IL Primary

Addresses

Primary practice location

3344 W Peterson Ave Ste 104
Chicago, IL 60659-3533

Mailing address

3344 W Peterson Ave Ste 104
Chicago, IL 60659-3533
Phone (773) 279-9244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080226000605 IL Part A Provider - Home Health Agency 1153405394 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841484524. Details of each certification follow.

Home health agency certification: CCN 148007

Legal name
AT HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 26, 2008
Last certification
Oct 2, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 23, 2007 in IL
Enrollment address
3344 W. Peterson Ave
Suite 104
Chicago, IL 60659-3528

Care Compare: Home health agency

Medicare Care Compare
Listed as
At Homehealth, IncCCN 148007 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Sep 26, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1066805At Home Health Inc3344 W Peterson Ave, Ste 104, Chicago, IL 60659Certificate of waiverApr 2, 2027

National Provider Directory

National Provider Directory

Locations

3344 W Peterson Ave
Ste 104
Chicago, IL 60659
Phone (773) 279-9244

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Avelina Oliva Individual 5% Or Greater Direct Ownership InterestPresident Jun 13, 2017 100%
Operational/Managerial Control Jan 17, 2012 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1841484524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 W PETERSON AVE STE 104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593533",
            "telephone_number": "773-279-9244",
            "fax_number": "773-279-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 W PETERSON AVE STE 104",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593533",
            "telephone_number": "773-279-9244",
            "fax_number": "773-279-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "AVELINA",
        "authorized_official_middle_name": "URION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-279-9244",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.